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BCX4161

Phase 2

Hereditary Angioedema | Small molecule | Other |BioCryst Pharmaceuticals, Inc.|Last Updated: Nov 17, 2025

Success Probability
Approval Probability 71%
TA Base Rate26%
Adjusted LOA41%
ML RiskLOW_RISK
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Market & Valuation
rNPV $3.2B
Market Size $9.4B
Revenue Basis $1.6B
Competitors 6
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Trial Design
RandomizedDouble-BlindCONTROLLEDDMCBiomarker
Total Trials4
Total Enrollment169
FDA Designations
No designations recorded
Clinical Trials (4)
NCT IDTitlePhaseStatusEnrollmentVelocityDesignStartCompletionLast UpdatedSitesCountries
NCT0230362612-Week Safety and Efficacy Study of BCX4161 as an Oral Prophylaxis Against HAE AttacksPHASE2 COMPLETED 110Dec 17, 2014Jan 1, 2016Nov 17, 202540 United States, Belgium +6
NCT01984788Safety and Efficacy of Oral BCX4161 as a Prophylactic Treatment for HAEPHASE2 COMPLETED 24Nov 1, 2013May 1, 2014Aug 18, 20146 Germany, United Kingdom
NCT02218294Study to Determine How BCX4161 is Metabolized and Eliminated by the BodyPHASE1 COMPLETED 7Aug 1, 2014Sep 1, 2014Oct 29, 20141 United Kingdom
NCT02125162A Study of the Relative Bioavailability of a New Formulation of BCX4161 and the Effect of Food on BCX4161PHASE1 COMPLETED 28Apr 1, 2014Jul 1, 2014Aug 15, 20141 United Kingdom
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Study Endpoints
Primary Endpoints
The Mean Acute Angioedema Attack Rate
12 weeks

An angioedema attack was defined as swelling at any location reported by participant, which had no swelling earlier. Total number of confirmed attacks during the treatment period standardized to a weekly attack-rate to adjust for the total duration of treatment. The attack rate was derived for each participant by treatment period. The weekly attack rate was equal to the total number of confirmed attacks during a treatment period divided by the duration of the treatment (in days) times 7 days.

Number of acute angioedema attacks
Over 28 days of treatment
Mass balance of BCX4161 after a single oral dose of [14C] BCX4161 based upon radioactivity excreted in urine, expired air and feces
Determined from samples drawn up to 14 days post-dose
Plasma pharmacokinetics to assess the relative bioavailability of BCX4161 soft gelatin capsules to hard gelatin capsules
Pharmacokinetic parameters AUC0-inf, AUC0-t and Cmax generated after 24 hours of postdose blood sampling
Secondary Endpoints
Number of Attack-free Days
12 weeks
Number of Participants Who Are Attack-free
12 weeks
Disease Activity, as Measured by the 84-day Angioedema Activity Score
12 weeks
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Study Design & Arms
AllocationRANDOMIZED
MaskingQUADRUPLE
ModelPARALLEL
PurposePREVENTION
Treatment Arms
ArmTypeDescription
BCX4161 300 mg three times dailyEXPERIMENTALThree BCX4161 capsules (100 mg) and two placebo capsules to be taken three times daily by mouth
BCX4161 500 mg three times dailyEXPERIMENTALFive BCX4161 capsules (100 mg) to be taken three times daily by mouth
Placebo three times dailyPLACEBO_COMPARATORFive placebo capsules to be taken three times daily by mouth
BCX4161ACTIVE_COMPARATOR400 mg TID for 28 days
PlaceboPLACEBO_COMPARATORTID for 28 days
[14C] BCX4161EXPERIMENTALIncludes a radiolabelled dose of \[14C\] BCX4161 and unlabelled BCX4161
Treatment AEXPERIMENTALBCX4161 400 mg formulated as hard gelatin capsules given orally under fasting conditions x1
Treatment BEXPERIMENTALBCX4161 400 mg formulated as soft gelatin capsules given orally under fasting conditions x1
Treatment CEXPERIMENTALBCX4161 400 mg formulated as soft gelatin capsules given orally after a high-fat breakfast x1
Interventions
NameTypeDescription
BCX4161DRUG -
PlaceboDRUG -
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Eligibility Criteria
Age Range18 Years — N/A
SexALL
Healthy VolunteersNo
Study Sites40

Key Inclusion Criteria: 1. A clinical diagnosis of HAE type I or II 2. Documented HAE attacks within a defined calendar period; in the absence of documented HAE attacks, participants will be required to enter a run-in period to document attacks 3. Access to acute attack medications 4. Sexually acti...

Countries:United StatesBelgiumCanadaFranceGermanyHungaryItalyUnited Kingdom
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